Memorialcare Orange Coast Medical Center: charges and Medicare payments

Memorialcare Orange Coast Medical Center reported 1,934 Medicare inpatient stays across 61 DRGs in 2024. Across them it charged 7.65 times what it was paid — among the higher ratios in California, number 41 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 354 stays at an average charge of $167,134, 85% above the national average. It also billed 1,902 outpatient services, charging 8.73 times what Medicare paid.

1Medicare inpatient stays 1,934
2Charge ÷ paid, inpatient 7.65×
3Rank in CA (highest ratio = 1) 41 of 247
4CMS price-transparency actions 0

Average charge per stay at Memorialcare Orange Coast Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 61 DRGs that can be compared with the national average, Memorialcare Orange Coast Medical Center charged more than the national average in 58 (95%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	354	$167,134	+85%	$19,845
291 Heart Failure and Shock with MCC	116	$119,793	+112%	$12,591
177 Respiratory Infections and Inflammations with MCC	77	$132,985	+88%	$16,324
193 Simple Pneumonia and Pleurisy with MCC	67	$106,839	+79%	$12,912
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	66	$83,428	+70%	$10,382
853 Infectious and Parasitic Diseases with O.R. Procedures with...	61	$450,744	+97%	$61,861
690 Kidney and Urinary Tract Infections without MCC	49	$72,036	+90%	$7,820
280 Acute Myocardial Infarction, Discharged Alive with MCC	48	$136,106	+80%	$16,273
378 Gastrointestinal Hemorrhage with CC	47	$88,299	+82%	$10,033
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$74,220	+100%	$7,643
274 Percutaneous and Other Intracardiac Procedures without MCC	38	$131,672	-16%	$33,314
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$98,247	+63%	$13,675
189 Pulmonary Edema and Respiratory Failure	35	$122,730	+113%	$12,391
330 Major Small and Large Bowel Procedures with CC	35	$153,454	+29%	$22,561
552 Medical Back Problems without MCC	31	$72,094	+48%	$9,533
689 Kidney and Urinary Tract Infections with MCC	31	$93,993	+83%	$10,892
698 Other Kidney and Urinary Tract Diagnoses with MCC	30	$131,841	+80%	$15,143
470 Major Hip and Knee Joint Replacement or Reattachment of...	29	$97,139	+4%	$19,483
682 Renal Failure with MCC	29	$87,993	+33%	$14,478
683 Renal Failure with CC	29	$80,895	+99%	$9,267
312 Syncope and Collapse	28	$74,363	+63%	$8,563
377 Gastrointestinal Hemorrhage with MCC	28	$139,536	+63%	$17,503
190 Chronic Obstructive Pulmonary Disease with MCC	27	$116,641	+131%	$11,436
281 Acute Myocardial Infarction, Discharged Alive with CC	25	$87,942	+74%	$9,561
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	25	$66,061	+64%	$8,260
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	24	$95,128	+71%	$9,668
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	23	$146,377	+47%	$17,074
481 Hip and Femur Procedures except Major Joint with CC	23	$136,128	+35%	$19,372
027 Craniotomy and Endovascular Intracranial Procedures without...	22	$86,138	-38%	$23,639
194 Simple Pneumonia and Pleurisy with CC	22	$79,655	+108%	$9,124
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$112,465	+10%	$19,925
329 Major Small and Large Bowel Procedures with MCC	21	$376,348	+75%	$47,435
308 Cardiac Arrhythmia and Conduction Disorders with MCC	18	$98,315	+74%	$12,228
418 Laparoscopic Cholecystectomy without C.D.E. with CC	18	$121,356	+30%	$16,968
460 Spinal Fusion except Cervical without MCC	17	$180,900	+6%	$35,401
673 Other Kidney and Urinary Tract Procedures with MCC	17	$219,914	+27%	$34,964
314 Other Circulatory System Diagnoses with MCC	16	$219,600	+132%	$19,962
603 Cellulitis without MCC	16	$110,916	+197%	$12,211
309 Cardiac Arrhythmia and Conduction Disorders with CC	15	$67,686	+87%	$8,091
313 Chest Pain	15	$74,231	+86%	$7,238
321 Percutaneous Cardiovascular Procedures with Intraluminal...	15	$218,539	+34%	$27,617
637 Diabetes with MCC	15	$146,681	+121%	$14,208
812 Red Blood Cell Disorders without MCC	15	$71,352	+61%	$9,648
870 Septicemia or Severe Sepsis with MV >96 Hours	15	$590,907	+83%	$73,532
322 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$149,239	+30%	$17,691
417 Laparoscopic Cholecystectomy without C.D.E. with MCC	13	$154,594	+24%	$22,612
854 Infectious and Parasitic Diseases with O.R. Procedures with...	13	$134,040	+36%	$19,496
069 Transient Ischemia without Thrombolytic	12	$72,394	+44%	$7,918
178 Respiratory Infections and Inflammations with CC	12	$84,178	+86%	$10,252
180 Respiratory Neoplasms with MCC	12	$160,376	+83%	$16,945
267 Endovascular Cardiac Valve Replacement and Supplement...	12	$237,341	+7%	$46,403
389 Gastrointestinal Obstruction with CC	12	$73,532	+89%	$7,931
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	12	$91,687	+50%	$12,528
406 Pancreas, Liver and Shunt Procedures with CC	12	$148,457	-8%	$32,591
472 Cervical Spinal Fusion with CC	12	$146,806	+3%	$33,235
186 Pleural Effusion with MCC	11	$111,339	+56%	$14,973
242 Permanent Cardiac Pacemaker Implant with MCC	11	$215,363	+34%	$32,502
286 Circulatory Disorders except AMI, with Cardiac...	11	$129,314	+15%	$23,877
331 Major Small and Large Bowel Procedures without CC/MCC	11	$96,159	+12%	$18,436
445 Disorders of The Biliary Tract with CC	11	$73,243	+26%	$10,998

Showing the 60 most frequent of 61 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	623	$48,325	$3,357
Level 1 Laparoscopy and Related Services	143	$43,827	$6,982
Level 1 Endovascular Procedures	117	$34,332	$4,013
Level 2 Excision/ Biopsy/ Incision and Drainage	101	$15,508	$1,982
Level 2 Upper GI Procedures	96	$20,472	$2,309
Level 5 Musculoskeletal Procedures	86	$76,019	$15,992
Level 5 Urology and Related Services	80	$39,311	$6,362
Level 3 Vascular Procedures	72	$32,711	$3,878
Level 3 Electrophysiologic Procedures	71	$114,324	$28,727
Level 4 Urology and Related Services	58	$33,437	$4,286
Level 3 Endovascular Procedures	45	$90,788	$13,503
Level 2 Laparoscopy and Related Services	45	$62,782	$12,185
Level 3 Excision/ Biopsy/ Incision and Drainage	38	$28,931	$3,494
Level 3 Urology and Related Services	35	$23,012	$2,504
Level 2 Vascular Procedures	28	$19,553	$1,913
Level 4 Vascular Procedures	28	$55,283	$6,756
Level 4 Musculoskeletal Procedures	27	$61,242	$8,792
Level 3 Pacemaker and Similar Procedures	24	$57,991	$13,108
Level 2 Breast/Lymphatic Surgery and Related Procedures	23	$53,588	$8,017
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	21	$43,863	$4,253
Level 3 Neurostimulator and Related Procedures	21	$72,042	$16,712
Level 3 Airway Endoscopy	19	$22,147	$2,087
Complex GI Procedures	18	$31,058	$7,007
Level 1 Breast/Lymphatic Surgery and Related Procedures	16	$40,956	$4,687
Level 4 Airway Endoscopy	15	$34,591	$4,604

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorialcare Orange Coast Medical Center charged $167,134 on average, 17% more than the California average of $143,063, and was paid $19,845 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Memorialcare Orange Coast Medical Center charged $119,793 on average, 19% more than the California average of $100,739, and was paid $12,591 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Memorialcare Orange Coast Medical Center charged $132,985 on average, 7% more than the California average of $124,302, and was paid $16,324 against a state average of $18,986. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Memorialcare Orange Coast Medical Center charged $106,839 on average, 3% more than the California average of $103,761, and was paid $12,912 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $48,325 was 16% above the state average of $41,628. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $43,827 was 32% below the state average of $64,351. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $34,332 was 15% below the state average of $40,544. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,508 was 5% above the state average of $14,749.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.